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Contact Information

AFFILIATED FOOT AND ANKLE
2805 CAMPUS DR STE 225
PLYMOUTH, MN55441-2678
 Phone: 763-383-8808
 Fax: 763-383-6033
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for AFFILIATED FOOT AND ANKLE · (Female)

NPI Number 1043317274
Status Active
Credentials
Entity Individual
Enumeration date 09/20/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 366
  • MN Other 11691MI BC/BS PROVIDER ID
  • MN Other HP13053 HEALTHPARTNES PROV ID
  • MN Other 27-15055 MEDICA PROVIDER ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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